Management of Respiratory Failure in Infants With Acute Viral Bronchiolitis

doi:10.1001/archpedi.1984.02140490071018

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Vol. 138 No. 11, November 1984

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Management of Respiratory Failure in Infants With Acute Viral Bronchiolitis

Kristan M. Outwater, MD; Robert K. Crone, MD

Am J Dis Child. 1984;138(11):1071-1075.

Abstract

• Fifteen infants with acute viral bronchiolitis requiredmechanical ventilation. Infants were all aged less than 12 weeksand all had evidence of atelectasis or pneumonia on chest x-rayfilms. Respiratory syncytial virus was identified by immunofluorescencein 14 of 15 patients. Intubation and mechanical ventilationwere initiated to reduce the work of breathing rather than totreat hypoxemia alone. Additional therapy included continuouspositive airway pressure or positive end-expiratory pressure,sedation, aminophylline, diuretics, fluid restriction, and earlyfeeding.

(AJDC 1984;138:1071-1075)

Author Affiliations

From the Departments of Anaesthesiology, Harvard Medical School and The Children's Hospital, Boston.

Footnotes

Reprint requests to Multidisciplinary Intensive Care Unit, TheChildren's Hospital, 300 Longwood Ave, Boston, MA 02115 (DrCrone).

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